Individual provider · Type 1 NPI

Latosia Rena-Denise Logan

Counselor · Macomb, MI

NPI number 1013652197 Active

Practice location

45964 Brentwood St
Macomb, MI 48042-5410

Call (586) 948-0665 Map

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X6451019460 (MI)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1013652197

Latosia Rena-Denise Logan's National Provider Identifier is 1013652197, issued on May 3, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Macomb, MI. The record was last updated on Feb 19, 2026.